2008, Number 2
<< Back Next >>
salud publica mex 2008; 50 (2)
The anatomy of patient satisfaction
Serrano-del Rosal R, Loriente-Arín N
Language: Spanish
References: 37
Page: 162-172
PDF size: 192.98 Kb.
ABSTRACT
Objective. To analyze how the overall satisfaction of users of the Andalusian Public Health Service varies according to their level of satisfaction with the different dimensions and specific aspects of the service.
Materials and Methods. Data stem from the
Primary Care Services User Survey conducted in 2005 as part of a larger research project regarding user satisfaction with the Andalusian Public Health Service. The methodology was to establish a compound variable for
Global satisfaction from three initial satisfaction measurements found in the survey and to reduce 23 indicators for partial satisfaction to
three satisfaction dimensions in order to analyze the existing relationship between them.
Results. The level of satisfaction with the dimension called the “organizational aspects of the service” best reflects the increase or decrease in the users’ Global satisfaction level. Users’ satisfaction with “medical services received” as well as the “state of the amenities” has less of an impact on the level of Global satisfaction.
Conclusions. Once a high level of satisfaction with the medical services is attained, the organization is the dimension that most determines the level of Global satisfaction with Primary Care services because this dimension contains factors that reflect the highest levels of dissatisfaction.
REFERENCES
Ruiz M, Martínez G, Calvo J, Aguirre H, Arango R, Lara R, et al. Bases para la evaluación de la calidad de la atención en las unidades médicas del sector salud. Salud Publica Mex 1990;32:156-169.
Clearly PD, Edgman-Levitan S, Roberts M, Moloney TW, McMullen W, Walker JD, et al. Patients evaluate their hospital care: A national survey. Health Affairs 1991;10:254-267.
Serrano-del Rosal R, Biedma L. El usuario del sistema sanitario: gestor de calidad. IX Congreso de Metodología de las Ciencias Sociales y de la Salud. Granada: Libro de resúmenes, 2005:262.
Donabedian A. Continuidad y cambio en la búsqueda de la calidad. Salud Publica Mex 1993;35:238-247.
Parasuman A, Zeithaml V, Berry L. A conceptual model of service quality and its implications for future research. Journal of marketing 1985;49:41-50.
Parasuman A, Zeithaml V, Berry L. Alternative scales for measuring service quality: a comparative assessment based on psychometric and diagnostic criteria. J Mark 1994;70:201-230.
Donabedian A. Garantía y monitoría de la calidad de la atención médica. Un texto introductorio. México, DF: Instituto Nacional de Salud Pública. 1990:10-12.
Mira JJ, Vitaller J, Aranaz J, Herrero JF, Buil JA. La satisfacción del paciente. Concepto y aspectos metodológicos. Revista de Psicología de la Salud 1992;4:89-116.
Carminal J. La medida de la satisfacción: un instrumento de participación de la población en la mejora de la calidad de los servicios sanitarios. Revista Calidad Asistencial 2001;16:276-279.
Linder-Pelz S. Toward a theory of patient satisfaction. Soc Sci Med 1982;16:577-582.
Williams B. Patient satisfaction: a valid concept? Soc Sci Med 1994;38:509-516.
Mciver S. An introduction to obtaining the views of users of health service. London: King’s Fund, 1991.
Bond S. Measuring patients satisfactions with nursing care. J Adv Nurs 1992;17:52-63.
Fitzpatrick R. Surveys of patient satisfaction: Important general considerations. Br Med J 1991;302:887-889.
Steiber R. Measuring and managing patient satisfaction. Journal American Hospital Publishing, 1998:1-23.
Valdés R, Molina J, Solís C. Aprender de lo sucedido. Análisis de las quejas presentadas ante la Comisión Nacional de Arbitraje Médico. Salud Publica Mex 2001;43:444-454.
Rees-Lewis J. Patient views on quality care in general practice: Literature review. Soc Sci Med 1994;39:655-670.
Strasser S, Davis RM. Measuring patient satisfaction for improved patent services. Ann Arbor, MI: Health Administration Press, 1991:210.
Fitzpatrick R. Satisfaction with health care. En: Fitzpatrick R, ed. The Experience of Illness. London: Tavistock, 1984:154-175.
Rubin HR. Can patients evaluate the quality of hospital care? Med Care Rev 1990;47:267-326.
Serrano-del Rosal R, Vera E, Ateca V. What drives patient discontent? The effect of individual and market determinants. IESA Working Papers series 2005 (0501).
Donabedian A. La calidad de la atención médica. Definición y métodos de evaluación. México, DF: Ediciones científicas La Prensa Médica Mexicana, 1984.
Serrano-del Rosal R, Vera E, Ateca V. Searching for the most suitable tool to measure satisfaction with healthcare: the importance of patient discontent. IESA Working Papers series 2005 (0504).
Fernández M, Gavira L, Pérez M, Serrano-del-Rosal R, Trujillo M. La sanidad desde el otro lado. Valoración social del sistema sanitario público en Andalucía. Andalucía: Consejería de Salud, Junta de Andalucía, 2001.
Abdellan FG, Levine E. Better Patient Care through Nursing Research. New York: McMillan, 1965.
Ware JE, Snyder MK, Wright R, Davies AR. Defining and Measuring patient satisfaction with medical care. Evaluations and program planning 1983;6:247-263.
Baker R. Development of a questionnaire to assess patient’s satisfaction with consultations in general practice. Br J Gen Pract 1990;40:87-490.
Pratt JW. Dividing the indivisible: using simple symmetry to partition variance explained. En: Pukkila T, OPuntannen S (ed). Second international Conference in Statistics. Tampere: University of Tampere, 1987:245-260.
Ochieng CO, Zumbo BD. Examination of a variable ordering in linear regression models: An assessment of the relative Pratt index in Likert data. En: First Annual Bob Conry conference on Measurement Evaluation and Research and Methodology. Vancouver: University of British Columbia, 2001.
Hall TA, Dornan MC. Patient sociodemographic characteristics as predictors of satisfaction with medical care: A meta-analysis. Soc Sci Med 1990;30:811-818.
Blanchard CG, Labrecque MS, Ruckdeschel JL, Blanchard EB. Physician, Behaviours, patient perceptions, and patient characteristics as predictors of satisfactions of hospitalized adult cancer patients. Cancer 1990;65: 186-192.
Donabedian A. Evaluating the quality of medical care. Milbank Memorial Fund 1966;44:166-203.
García-Arqué RM. Actitudes de la población ante el sector sanitario. Madrid: Centro de Investigaciones Sociológicas, 1997.
Fernández M, Gavira L, Pérez M, Serrano-del Rosal R, Trujillo M. La sanidad desde el otro lado. Valoración social del sistema sanitario público en Andalucía. Andalucía: Consejería de Salud, Junta de Andalucía 2001.
Rohlfs I, Artazcoz L. Diferencias y desigualdades en la salud de mujeres y hombres. Monográfico sobre estrés. Rev Lan Osasuna Salud Laboral y Estrés 2000.
Sitzia J, Wood N. Patient satisfaction: A review of issues and concepts. Soc Sci Med 1997;45:1829-1843.
Ramírez T de J, Nájera P, Nigenda G. Percepción de la calidad de la atención de los servicios de salud en México: perspectiva de los usuarios. Salud Publica Mex 1998;40:3-12.